Efficacy and Safety of Palonosetron Hydrochloride in the Prevention of Nausea and Vomiting

NCT ID: NCT01481831

Last Updated: 2012-12-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

599 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-07-31

Brief Summary

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This purpose of this study is to evaluate the efficacy and safety of single and repeated doses of palonosetron hydrochloride in preventing nausea and vomiting caused by moderate and highly emetogenic chemotherapy in patients.

Detailed Description

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Group I (Highly Emetogenic Chemotherapy): Patients that accepted chemotherapy including Cisplatin≥50mg/m2, Carmustine\>250mg/m2, Cyclophosphamide\>1500mg/m2, Dacarbazine\>60mg/m2, Doxorubicin\>60mg/m2, Epirubicin\>90mg/m2, IFO≥10g/m2 or AC program.

Group II (Moderately Emetogenic Chemotherapy): Patients that accepted chemotherapy including any dose of Carboplatin, Daunorubicin, Oaliplatin, Irinotecan, or Doxorubicin\<60mg/m2(not include liposomal doxorubicin), Epirubicin≤90mg/m2, Carmustine≤250mg/m2, Methotrexate≥250mg/m2, Cyclophosphamide≤1500mg/m2, Arabinoside\>200mg/m2, IFO\<10g/m2, Cisplatin≥50mg/m2.

Total subjects: 1000, single dose of palonosetron group of 500 patients, repeated doses of palonosetron group of 500 patients. According to the study subjects receiving highly emetogenic chemotherapy or moderately emetogenic chemotherapy, subjects are stratified randomize.

Conditions

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Neoplasms Chemotherapy-Induced Nausea and Vomiting

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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H PALO day 1

Highly Emetogenic Arm, Palonosetron 0.25mg IV\*1 dose on day 1

Group Type ACTIVE_COMPARATOR

Palonosetron Hydrochloride

Intervention Type DRUG

0.25 mg IV\*1 dose on day 1, 30 minutes prior to the administration of the major chemotherapeutic agent.

H PALO day 1,3,5

Highly Emetogenic Arm, Palonosetron 0.25mg IV\*3 doses on days 1,3 and 5

Group Type EXPERIMENTAL

Palonosetron Hydrochloride

Intervention Type DRUG

0.25mg IV\*3 doses on days 1,3 and 5,30 minutes prior to the administration of the major chemotherapeutic agent.

M PALO day 1

Moderately Emetogenic Arm, Palonosetron 0.25mg IV\*1 dose on day 1

Group Type ACTIVE_COMPARATOR

Palonosetron Hydrochloride

Intervention Type DRUG

0.25 mg IV\*1 dose on day 1, 30 minutes prior to the administration of the major chemotherapeutic agent.

M PALO day 1,3,5

Moderately Emetogenic Arm, Palonosetron 0.25mg IV\*3 doses on days 1,3 and 5

Group Type EXPERIMENTAL

Palonosetron Hydrochloride

Intervention Type DRUG

0.25mg IV\*3 doses on days 1,3 and 5,30 minutes prior to the administration of the major chemotherapeutic agent.

Interventions

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Palonosetron Hydrochloride

0.25 mg IV\*1 dose on day 1, 30 minutes prior to the administration of the major chemotherapeutic agent.

Intervention Type DRUG

Palonosetron Hydrochloride

0.25mg IV\*3 doses on days 1,3 and 5,30 minutes prior to the administration of the major chemotherapeutic agent.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patients candidates to a chemotherapy treatment, with histologically or cytologically confirmed malignant disease;
2. The concrete chemotherapy plan does not limited, group I (Highly Emetogenic Chemotherapy), group II (Moderately Emetogenic Chemotherapy);
3. Male or female aged 18-75 years, ECOG≤2, estimates survival time≥3 months;
4. WBC≥3.0×109/L, ANC≥1.5×109/L, PLT≥80×109/L, total bilirubin≤1.5×ULN(Normal value upper limit), AST and ALT≤2.5×ULN(With transferability liver cancer≤5×ULN), Cr and BUN≤1.5×ULN, electrolyte and electrocardiogram are normal, conforms to the chemotherapy adaptation;
5. Patients have been apart from the previous chemotherapy to finish above 2 weeks (including 2 weeks);
6. Patients that voluntarily sign the consent form.

Exclusion Criteria

1. Pregnancy, or patients during breast feeding;
2. Patients have accepted any radiotherapy during the experimental period;
3. Gastric outlet or intestinal obstruction;
4. Patients have serious heart diseases, liver kidney diseases, or metabolism function disorder;
5. Patients have epilepsy, or have been used psychotropic drug and calm drug;
6. Received any drugs with potential anti-emetic efficacy, or experienced any vomiting, nausea or retching in the 24 hours prior to chemotherapy;
7. Patients with transferability brain tumor, have vomiting caused by skull high pressure, or can not speak sickness situation and adverse reactions by self;
8. Patients have known hypersensitivity to 5-HT3 antagonists;
9. Patients have chemotherapy contraindications;
10. Patients are participating, or have participated in other Clinical studies of new drugs within 2 weeks.
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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JiangSu Chia-Tai Tianqin Pharmacy Co.Ltd

UNKNOWN

Sponsor Role collaborator

Shanghai Changzheng Hospital

OTHER

Sponsor Role lead

Responsible Party

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Zhan Wang

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Anhui Provincial Hospital

Hefei, Anhui, China

Site Status

Chinese Academy of Medical Sciences Cancer Hospital

Beijing, Beijing Municipality, China

Site Status

Chinese PLA 301 Hospital

Beijing, Beijing Municipality, China

Site Status

Chinese PLA 307 Hospital

Beijing, Beijing Municipality, China

Site Status

Chinese PLA Navy General Hospital

Beijing, Beijing Municipality, China

Site Status

Fuzhou General Hospital of Nanjing Military Command

Fuzhou, Fujian, China

Site Status

Guangxi Cancer Hospital

Nanning, Guangxi, China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

The First People's Hospital of Changzhou

Changzhou, Jiangsu, China

Site Status

Nanjing General Hospital of Nanjing Military Command

Nanjing, Jiangsu, China

Site Status

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status

The Fourth People's Hospital of Wuxi

Wuxi, Jiangsu, China

Site Status

Shandong Cancer Hospital

Jinan, Shandong, China

Site Status

Shandong Provincial Hospital

Jinan, Shandong, China

Site Status

The Affiliated Hospital of Medical College Qingdao University

Qingdao, Shandong, China

Site Status

Shanghai Changzheng Hospital

Shanghai, Shanghai Municipality, China

Site Status

Shanghai Xinhua Hospital

Shanghai, Shanghai Municipality, China

Site Status

Tangdu Hospital of Fourth Military Medical University

Xian, Shanxi, China

Site Status

Countries

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China

Other Identifiers

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zhiruo

Identifier Type: -

Identifier Source: org_study_id